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Interstitial lung disease 

Interstitial lung disease
Interstitial lung disease
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date: 11 July 2020

Introduction 222

Known idiopathic pulmonary fibrosis 222

Other idiopathic interstitial lung diseases 223

Drug-induced interstitial lung disease 224

Hypersensitivity pneumonitis (HP) 224

The classification of interstitial lung disease (ILD) has been refined significantly over recent years and is rather confusing to the uninitiated! Most ILDs are rare and unlikely to present as an emergency. Cryptogenic fibrosing alveolitis (CFA), also known as idiopathic pulmonary fibrosis (IPF), is probably the most frequent ILD encountered in routine respiratory practice. The pathology underlying this is termed ‘usual interstitial pneumonia’ (UIP) and it is one of the so-called ‘idiopathic interstitial pneumonias’ (IIPs). These three terms (IPF, CFA, UIP) are often used interchangeably in the same patient's notes which can easily cause further confusion! Description of the pathological distinction between specific disease entities is beyond the scope of this chapter (see OHRM, Chapter 35)....

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